中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2010年
19期
19-20
,共2页
双水平无创正压通气%急性肺损伤%急性呼吸窘迫综合征
雙水平無創正壓通氣%急性肺損傷%急性呼吸窘迫綜閤徵
쌍수평무창정압통기%급성폐손상%급성호흡군박종합정
Bi-level positive airway pressure ventilation%Acute lung injury%Acute respiratory distress syndrome
目的 探讨无创正压通气(BiPAP)治疗急性肺损伤(ALI)的可行性.方法 选取18例符合ALI诊断标准的患者,应用BiPAP通气治疗,观察通气前,通气2、12 h及撤机后动脉氧分压(PaO2)、动脉二氧化碳分压(PaCO2)、pH值、呼吸频率(RR)的变化,以及住院气管插管率、病死率和应用无创通气时间.结果 通气治疗2 h可提高PaO2,改善pH;通气治疗12 h患者PaCO2、RR显著改善.结论 对ALI患者积极应用BiPAP通气治疗,可改善缺氧、CO2潴留,降低呼吸频率和ALT发展至急性呼吸窘迫综合征的几率.
目的 探討無創正壓通氣(BiPAP)治療急性肺損傷(ALI)的可行性.方法 選取18例符閤ALI診斷標準的患者,應用BiPAP通氣治療,觀察通氣前,通氣2、12 h及撤機後動脈氧分壓(PaO2)、動脈二氧化碳分壓(PaCO2)、pH值、呼吸頻率(RR)的變化,以及住院氣管插管率、病死率和應用無創通氣時間.結果 通氣治療2 h可提高PaO2,改善pH;通氣治療12 h患者PaCO2、RR顯著改善.結論 對ALI患者積極應用BiPAP通氣治療,可改善缺氧、CO2潴留,降低呼吸頻率和ALT髮展至急性呼吸窘迫綜閤徵的幾率.
목적 탐토무창정압통기(BiPAP)치료급성폐손상(ALI)적가행성.방법 선취18례부합ALI진단표준적환자,응용BiPAP통기치료,관찰통기전,통기2、12 h급철궤후동맥양분압(PaO2)、동맥이양화탄분압(PaCO2)、pH치、호흡빈솔(RR)적변화,이급주원기관삽관솔、병사솔화응용무창통기시간.결과 통기치료2 h가제고PaO2,개선pH;통기치료12 h환자PaCO2、RR현저개선.결론 대ALI환자적겁응용BiPAP통기치료,가개선결양、CO2저류,강저호흡빈솔화ALT발전지급성호흡군박종합정적궤솔.
Objective To evaluate the clinical effect of bi-level positive airway pressure(BiPAP)ventilation on patients with acute lung injury(ALI). Methods Eighteen patients with ALI underwent BiPAP ventilation on the basis of routine treatment. Changes of PaO2,PaCO2,arterial pH and respiratory rate(RR) were measured at diferent time points(before ventilation,2 hours and 12 hours after ventilation,and after weaning,respectively).Meanwhile,the percentage of invasive mechanical ventilation(IMV),mortality and ventilation duration were recorded. Results PaO2 and pH of the patients with ALI were improved significantly 2 hours after BiPAP ventilation. PaCO2 and RR were improved 12 hours after ventilation. Conclusions BiPAP ventilation can improve oxygenation,reduce RR of the patients with acute lung injury, futher reduce the requirement for IMV to acute respiratory distress syndrome.
